Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Sep 2021
Arthroscopic and open partial arthroplasty for the treatment of focal grade IV cartilage defects of the humeral head.
Focal Outerbridge grade IV cartilage defects of the proximal humerus may lead to pain and an impaired shoulder function. In cases of failed operative or conservative treatment options such as intraarticular injections or arthroscopic microfracturing of the subchondral bone, partial arthroplasty of the humeral may restore the articular surface of the humeral head without altering the anatomy. This study evaluates mid-term results of open and arthroscopic partial resurfacing of the humeral head in the context of focal grade IV cartilage defects. ⋯ Level IV (retrospective study).
-
Arch Orthop Trauma Surg · Sep 2021
Randomized Controlled TrialTranexamic acid is beneficial for blood management of high tibial osteotomy: a randomized controlled study.
The purpose of this study was to investigate whether TXA can effectively reduce blood loss after HTO and related complications and to evaluate its safety. ⋯ Intravenous TXA can effectively and safely reduce blood loss and bleeding-related complications after HTO and was beneficial for the blood management of HTO.
-
Arch Orthop Trauma Surg · Sep 2021
Multicenter StudyPatellar fractures in elderly patients: a multicenter computed tomography-based analysis.
This study aimed to demonstrate the characteristics of patellar fractures and evaluate clinical outcomes in elderly patients. ⋯ Patellar fractures in the elderly were mostly from low-energy injuries, and types C3 and A1 were the most common. CT images demonstrated high rates of an inferior pole involvement and comminution. The complication and reoperation rates were relatively high.
-
Arch Orthop Trauma Surg · Sep 2021
Treatment of advanced stage osteochondrosis dissecans in the adolescent elbow using a hyaloronic acid-based scaffold: a case series of 5 patients.
Osteochondrosis dissecans (OCD) is considered to be one of the main causes for pain, discomfort and morbidity in the pediatric elbow joint. Few treatment options, such as microfracture or autologous transplantation, of osteochondral bone grafts have been described to address advanced OCD. The aim of this retrospective case series is to present preliminary clinical and radiologic findings following advanced stage OCD repair using a novel combination of a hyaluronic acid-based scaffold with autologous iliac crest bone grafting. ⋯ This study showed promising clinical short- to mid-term results in adolescent patients with advanced OCD using a novel surgical treatment combination. Radiographic results showed partial healing; hence, residual changes should be monitored over a longer period.
-
Arch Orthop Trauma Surg · Sep 2021
Is athroscopic surgery as succesful as open approach in the treatment of lateral ankle instability?
To evaluate the clinical results of arthroscopic repair and open Ahlgren-Larsson method in patients with chronic lateral ankle instability. ⋯ II.